| Clark Family Dental Center | |
|
415 1st Ave W Clark SD 57225-1320 | |
| (605) 532-3636 | |
| (605) 532-3934 |
| Full Name | Clark Family Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 415 1st Ave W, Clark, South Dakota |
| Authorized Official Name and Position | Harvey Dean Spieker (PRESIDENT, SPIEKER DENTAL, INC) |
| Authorized Official Contact | 6055323636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Family Dental Center 415 1st Ave W Clark SD 57225-1320 Ph: (605) 532-3636 | Clark Family Dental Center 415 1st Ave W Clark SD 57225-1320 Ph: (605) 532-3636 |
| NPI Number | 1821018243 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821018243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M435 (South Dakota) | Primary |
| 1223G0001X | Dentist - General Practice | D0403 (South Dakota) | Secondary |
Clark Family Dental Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 1st Ave W, Clark, SD 57225 Phone: 605-532-3636 |